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DR. MARK LAWRENCE MAZOW M.D. NPI 1639173669


NPI Information

NPI: 1639173669
Provider Name: DR. MARK LAWRENCE MAZOW, M.D.
Classification: Ophthalmology - 207W00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
7777 FOREST LANE
SUITE C-710
DALLAS, TX
ZIP 75230
Phone: (972) 566-2020
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DR. Mark Lawrence Mazow, M.D. is an ophthalmology in Dallas, TX with 38 years of experience. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. DR. Mark Lawrence Mazow, M.D. NPI is 1639173669. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7777 FOREST LANE
SUITE C-710
DALLAS, TX
ZIP 75230-571
Phone: (972) 566-2020
Fax: (972) 566-5454

The NPI 1639173669 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/8/2005 and was last updated on 11/2/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207WX0200XOphthalmologyOphthalmic Plastic and Reconstructive SurgeryH2575TEXASNo
2207W00000XOphthalmologyH2575TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100401610BOTHERTEXASKANSAS MEDICAID
2131458501OTHERTEXASCID
3388561OTHERTEXASWELLCARE PPO
44232994OTHERTEXASAETNA PPO, POS, & EPO
5081148OTHERTEXASPCA
620801OTHERTEXASTOTAL VISION HEALTHCARE
729761OTHERTEXASAMERIGROUP/AMERICAID
82819152007OTHERTEXASTOTAL VISION HEALTHCARE
95692OTHERTEXASPARKLAND KIDS FIRST
103566323OTHERTEXASHEALTH MARKET
118658B7OTHERTEXASMEDICARE DEFAULT
12H2575OTHERTEXASUNICARE
130612278OTHERTEXASAETNA HMO
148658B7OTHERTEXASBCBS
15180009584OTHERTEXASRAILROAD MEDICARE
16100752320AOTHERTEXASOKLAHOMA MEDICAID
17128003001OTHERTEXASAR MEDICAID
18358046OTHERTEXASONE HEALTH
19388561OTHERTEXASWELLCARE HMO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.